Theodora Despina Andriotis, DO | |
1317 3rd Ave Fl 8, New York, NY 10021-2962 | |
(212) 434-6400 | |
(212) 249-2196 |
Full Name | Theodora Despina Andriotis |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 1317 3rd Ave Fl 8, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1063943918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 318854 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Theodora Despina Andriotis, DO 450 Clarkson Ave, Box 49, Brooklyn, NY 11203-2012 Ph: () - | Theodora Despina Andriotis, DO 1317 3rd Ave Fl 8, New York, NY 10021-2962 Ph: (212) 434-6400 |
Dr. Jahannaz Dastgir, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 710 W 168th St, New York, NY 10032 Phone: 646-426-3876 Fax: 212-342-6865 | |
Dr. Lawrence S, Kegeles, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1051 Riverside Drive, Unit 31, New York, NY 10032 Phone: 212-543-5497 Fax: 212-568-6171 | |
Dr. Risa Ribakove, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 135 E 12th St, Second Floor, New York, NY 10003 Phone: 212-229-1671 | |
Dr. Laura Raquel Sirulnik, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 W 63rd St Apt 33a, New York, NY 10023 Phone: 646-258-8535 | |
Dr. Amanda Moberg Wilson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 21 W 86th St, Suite 209, New York, NY 10024 Phone: 917-715-2886 | |
Dr. Jose Dtm Gutierrez, MD, MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 710 W 168th St, 6th Floor, New York, NY 10032 Phone: 212-305-8389 | |
Nathaniel Mendelsohn, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 950 Park Ave, New York, NY 10028 Phone: 646-389-1447 |